Last question. I promise you!

Aug 13, 2011

Dear Dr. Bob,
Im that guy who took PEP by mistake for 28 days after getting semen in the eye and over an eczema/folliculitis on my butts. Do you remember me? I celebrated a lot after my 3-month negative RNA PCR and HIV 1 and 2 ELISA tests, and even moved on with my life for one month. However, after thinking over and over, I started to wonder if you would ever consider an HIV-HCV co-infection after this incidence, and possible delayed seroconversion. I still have a lot of weird symptoms: oral candidiasis (Im a dentist, so I know how to diagnose this), low CD4 (but a CD4/Cd8 ratio of 1.5), mouth ulcers (I did not use to have them before), neurophatic pain, dermographism, anal fistula (never did anal sex) and skin papilomaceous lesions that appear to increase in number. Because of all that, and because I also had 3 eye exposures to blood during my practice after the semen episode, I started fearing the possibility of delayed seroconversion. 1.Would you consider Hep C infection after the semen episode? 2. Would you test for it? 3.Should I test for HIV and HCV after 6 months? 4. Which PCR test is more indicated at 5-6 months post exposure? Please reply! I put a great trust on you! I only calm down when you reply! I appreciate your patience!

Response from Dr. Frascino

Hi.

Your "last question" has four parts. So shouldn't the title of your post more accurately read "Last four Questions. I promise you!"???

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

The Body is a service of Remedy Health Media, LLC, 750 3rd Avenue, 6th Floor, New York, NY 10017. The Body and its logos are trademarks of Remedy Health Media, LLC, and its subsidiaries, which owns the copyright of The Body's homepage, topic pages, page designs and HTML code. General Disclaimer: The Body is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through The Body should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.